Individual provider Active NPI

Theodore Toerne, MD

  • Emergency Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1902814502
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
360940030 Issued in IL
Practice address
4440 W 95TH St
Department of Emergency Medicine
Oak Lawn, IL 60453-2600
Phone
(708) 684-5354
Fax
(708) 684-1028
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2282-320 WI
Medical Toxicology (Emergency Medicine) Physician 207PT0002X 360940030 IL
Emergency Medicine Physician 207P00000X 360940030 IL Primary

Addresses

Primary practice location

4440 W 95TH St
Department of Emergency Medicine
Oak Lawn, IL 60453-2600

Mailing address

66 W 15TH St
Chicago, IL 60605-2727
Phone (312) 922-1553

Other identifiers 1

IdentifierTypeStateIssuer
360940030MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ttoerne874328@direct.gundersenhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040519000560 IL Practitioner - Emergency MedicinePractitioner - Medical Toxicology 0345231403 Reassigns benefits to 3 organizations
I20230131000898 WI Practitioner - Emergency Medicine 0345231403 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Medical Toxicology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iems Physician Services PLLCGroup PAC ID 2567802556, 64 clinicians

Practice addresses (Care Compare)

1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
360940030ILMDEmergency Medicine Physician
2282-320WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Health Services, Inc. Current Accepting new patients
Pana Community Hospital Association Current Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Apr 23, 2024 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Apr 26, 2024 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Apr 23, 2024 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Apr 23, 2024 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Apr 26, 2024 Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Nov 1, 2021 Accepting new patients
Memorial Hospital Association CurrentSince Dec 6, 2024 Accepting new patients
Memorial Hospital Association CurrentSince Dec 6, 2024 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince May 1, 2024 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Memorial Hospital of Boscobel CurrentSince Apr 23, 2024 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince May 1, 2024 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Current Accepting new patients
Iems Physician Services PLLC Emergency Medicine CurrentSince Feb 1, 2026 Accepting new patients
Memorial Hospital Association Current Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Apr 23, 2024 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Apr 23, 2024 Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
Unimed, LTD Past Accepting new patients
Memorial Hospital Association Past Accepting new patients
Emergency Care Physician Services Emergency Medicine Past Accepting new patients

Locations

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131

812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Interoperability endpoints

  • Direct secure messaging: ttoerne874328@direct.emplifyhealth.org
  • Direct secure messaging: ttoerne916342@direct.unitypoint.org
  • Direct secure messaging: ttoerne874328@direct.gundersenhealth.org

Organizations & group practices 25

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 25

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1902814502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W 15TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052727",
            "telephone_number": "312-922-1553",
            "fax_number": "312-922-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "708-684-5354",
            "fax_number": "708-684-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOERNE",
        "first_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "2282-320",
            "primary": false
        },
        {
            "code": "207PT0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": "IL",
            "license": "360940030",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "360940030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360940030",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttoerne874328@direct.gundersenhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "1836 South Ave",
            "city": "LA Crosse",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546015429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.